Active NPI
Michael J. Feltes, Dba Sound Seniors Geriatrics, MD
- Geriatric Medicine (Family Medicine) Physician
- Mystic, CT
National Provider Identifier
1679628820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD
- Practice address
- 3 Heron Rd
Mystic, CT 06355-3253 - Phone
- (860) 536-6442
- Fax
- (860) 536-6442
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. June Fliri, M.B.A., M.S.W.
- Title
- Manager
- Phone
- (860) 536-6442
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X |
Addresses
Primary practice location
3 Heron Rd
Mystic, CT 06355-3253
Mailing address
3 Heron Rd
Mystic, CT 06355-3253
Phone (860) 536-6442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004181880 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Michael J Feltes Dba Sound Seniors Geriatrics MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gerontology Nurse Practitioner
- Mystic, CT
- NPI 1588719736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211932800000",
"number": "1679628820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HERON RD",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063553253",
"telephone_number": "860-536-6442",
"fax_number": "860-536-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HERON RD",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063553253",
"telephone_number": "860-536-6442",
"fax_number": "860-536-6442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J. FELTES, DBA SOUND SENIORS GERIATRICS, MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-05-28",
"status": "A",
"authorized_official_last_name": "FLIRI",
"authorized_official_first_name": "JUNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "860-536-6442",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.B.A., M.S.W."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004181880",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mystic, CT
- McQuades Home Infusion (McQuades Specialty Pharmacy, LLC)
- McQuades Marketplace Pharmacy
- McQuades Marketplace Pharmacy (McQuades Pharmacy Inc)
- Allison Mead
- Laura J Mentzer, DPT
- Michael J. Feltes,Dba Sound Seniors Geriatrics, Aprn
- Emma E Miller, LCSW
- Miriam Wholean LCSW LLC
- Tamara M Mitton
- Monarch Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.